[Crossectomy in ascending superficial thrombophlebitis of the leg veins].
Ascending thrombophlebitis of the superficial leg veins is known to propagate into the deep leg veins and to embolize. In a prospective study we followed up 44 patients with sonographically diagnosed ascending thrombophlebitis into the deep veins (V. saphena magna n = 40, V. saphena parva n = 4). In 15 of 44 cases (34%) thrombosis of the crossing veins was found intraoperatively and 6 of 44 crossings were filled with floating thrombi into the deep vein lumina (14%). Among complications of treatment (11.4%) recurrence of thrombi in the ligated superficial residual vein stump was seen in 2 of 44 cases. One of these patients suffered a symptomatic, non-fulminant pulmonary embolism. The other patient developed a femoral vein thrombosis. 1 patient had an abscess and 1 a seroma of the groin. In 11% of all cases ascending thrombophlebitis diagnosed duplex sonographically was not effective in preventing propagation of thrombi into the deep veins thromboembolism remains a complication of ascending thrombophlebitis.
Kock
H J
HJ
Abteilung für Allgemeine Chirurgie, Universitätsklinikum Essen.
Krause
U
U
Albrecht
K H
KH
van der Laan
E
E
Rudofsky
G
G
Eigler
F W
FW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology; D012008:Recurrence; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex; D014680:Veins / Q000601:surgery
Die Crossektomie bei aszendierender oberflächlicher Thrombophlebitis der Beinvenen.